Vaccination Requirments
 Share
The version of the browser you are using is no longer supported. Please upgrade to a supported browser.Dismiss

View only
 
ABCDEFGHIJKLMNOPQRST
1
2
Vaccination Requirements
3
4
All University and Hospital RequirmentsDescription RequirementsDate Requirment UpdatedCompleted (Yes/No)Has it been sent to Kelly Lynch in Student Affairs?
5
Measles/Mumps/RubellaTwo Vaccinations, at least one of which must have been administered after 12/31/1979 showing immunity to Measles and Rubella. Titers Required if no documentation of vaccines.MMR #1 Date and MMR #2 Date OR Rubella IgG titer Date and Rubeola Titer Date12.11.2013
6
Hepatitis B Surface Antibody - Quantitative titer Hep B Surface Antibody QUANTITATIVE Titer (must be documented at least 5 weeks after 3rd injection)1st Injection Date, 2nd Injection Date, and 3rd Injection Date AND Hep B Surface Date and Result12.11.2013
7
VaricellaTwo Vaccination series if student has not had chicken pox or those with negative/equivocal varicella titer. Students with history of Chicken Pox should have a titer drawn to confirm immunity. 1st Injection Date and 2nd Injections Date OR Varicella Zoster Titer Date and Result12.11.2013
8
TDapRequired within the past 10 yearsDate of last TDap12.11.2013
9
Tuberculosis Skin Test (ANNUAL)Students with history of positive TB skin test should submit documentation of ANNUAL Quantiferon TB Gold TestTest Date, Date Read, and Result (if positive TB Skin Test CXR Date and Result along with Gold Test Date and Reslut)12.11.2013
10
11
Banner Hospital Extra Vaccination RequirementsDescriptionRequirementsDate Requirment UpdatedCompleted (Yes/No)Has it been sent to Kelly Lynch in Student Affairs?
12
Flu Shot (ANNUAL)Must complete flu shot ANNUALY by Novemeber 1stSeasonal Flu Shot Date12.11.2013
13
14
Phoenix Childrens Hospital Extra Vaccination RequirmentsDescriptionRequirementsDate Requirment UpdatedCompleted (Yes/No)Has it been sent to Kelly Lynch in Student Affairs?
15
Flu Shot (ANNUAL)Must complete flu shot ANNUALY by December 1stSeasonal Flu Shot Date12.11.2013
16
17
*It is important to note that new items may be added or required at a later date. The items will be updated on this documenta as new requirments emerge.
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
Loading...